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Revision TKR Revision RTKR due to laxity in ligament 3rd March 2015

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Thank you Speedy2

Its just so frustrating to be honest. My youngest daughter is just 9 and it was family life that led me to make the decision to go ahead.

Op notes stated he got to 120+ so its in there somewhere lol. I guess i had not prepared well for this surgery.
Since 2008 i have been through various surgeries on this knee and thought this would be copeable....i was wrong there!
Onwards and upwards eh! Hopefully it will come in time. :-)
 
I think you can do a few heel slides to keep the knee moving but like you said, really back off from the exercise for a few days.
 
Since 2008 i have been through various surgeries on this knee and thought this would be copeable....i was wrong

That is a common statement from many who have had other knee surgeries.
It does get better; takes time and patience. Do keep up updated on how you are doing!
:)
 
@Josephine have you heard of serra enzyme? Someone said i should give it a try. Was just wondering if its any use. Thanks
 
Never. Looks like one of those hyped up alternative medicine things. @Poppet might know of it though.
 
Thanks Jo, hi @chereb

Serrapeptase (Serra Enzyme) is a plant based protein enzyme extracted from the silkworm intestine and grown on some type of vegetable matter via a fermentation process. It is purported to have an anti-inflammatory action by assisting the body break down protein.

Have I ever prescribed it or used it personally - NO.

As it is a supplement I am not permitted by law to provide an opinion on its efficacy.

cc. @Josephine

Cheers, Poppet.
Disclaimer: The information on dietary factors, foods, and beverages contained in this article does not cover all possible uses, actions, precautions, side effects, and interactions. It is not intended as medical advice for individual problems. Liability for individual actions or omissions based upon the contents of this article is expressly disclaimed. Consult a doctor or other health care professional for diagnosis and treatment of all medical conditions including the taking of supplements.
 
@Poppet

Such great knowledge you have. Can anti inflammatory supplements effect your stomach the way NSAIDs do? I have GERD and cannot take any type of NSAID and was just wondering if a supplement such as this would have the same harmful side effects? My husband swears by alfalfa which he takes daily to treat his gout and arthritis. I am just leery to try it. Thank you again!!

JoAnne
 
I have been through multiple surgeries in my lifetime. This RTKR is at top as being one of the worst. A traumatic surgery such as this one, takes a year+ to recover from.

Right now, you need to rest and give your body time to heal. ROM will come later.
 
@Poppet

Such great knowledge you have. Can anti inflammatory supplements effect your stomach the way NSAIDs do? I have GERD and cannot take any type of NSAID and was just wondering if a supplement such as this would have the same harmful side effects? My husband swears by alfalfa which he takes daily to treat his gout and arthritis. I am just leery to try it. Thank you again!!

JoAnne

Hi JoAnne, @Jozilla - do you mean taking the Serra Enzyme? If so, it really is hard to say as I haven't had any experience with this supplement. There are interactions and contraindications between natural medicine products, herbs and supplements exactly the same as medicines. When I studied Herbal Medicine, I had to know not only what individual herbs are prescribed for but also the pharmacology, interactions with meds, contraindications with meds and contraindications between individual and multiple herbs of over 1900 herbs that are commonly used. For example,
  • Alfalfa might interfere with the way the body takes in and uses vitamin E.
  • Alfalfa contains large amounts of vitamin K. Vitamin K is used by the body to help blood clot. Warfarin (Coumadin) is used to slow blood clotting. By helping the blood clot, alfalfa might decrease the effectiveness of warfarin (Coumadin).
One research paper I read reported this:
Kidney transplant: There is one report of a kidney transplant rejection following the three-month use of a supplement that contained alfalfa and black cohosh. This outcome is more likely due to alfalfa than black cohosh. There is some evidence that alfalfa can boost the immune system and this might make the anti-rejection drug cyclosporine less effective.

That's why I am passionate about balanced, healthy nutrition :)

Regards your GERD, as you know, the human body needs to maintain a healthy pH balance for optimum functioning. When the pH is unbalanced for a long period of time, conditions such as heartburn and GERD can occur. The human stomach has difficulty digesting food that is too acidic. The food that goes undigested ends up as acid waste, which causes the symptoms of GERD. Therefore it is important to know which foods will cause acid waste and which foods are safe to eat. Acidic foods to be be avoided include chocolate (now how can a woman go without her chocolate - I know I can't) citrus fruit and fruit juice, tomato sauces, vinegar-based dressings, alcohol, coffee and spicy food.

But, having GERD doesn't mean that you have to stick to a highly restrictive diet. Plenty of foods are safe. Like I mentioned, whole grain pasta, bread and rice are healthy options. Low fat dairy products such as cheese, milk and yogurt. Skinless chicken breast, fish, lean steak and eggs are all fine to eat. Fresh fruits and vegetables including apples, bananas, cabbage, broccoli, carrots, green beans, peas and potatoes are good to eat, as well. Wheat grass, barley grass, alfalfa, parsley and certain nuts are highly alkaline and are reported to be safe to eat with GERD.

Cheers, Poppet.
Disclaimer: The information on dietary factors, foods, and beverages contained in this article does not cover all possible uses, actions, precautions, side effects, and interactions. It is not intended as medical advice for individual problems. Liability for individual actions or omissions based upon the contents of this article is expressly disclaimed. Consult a doctor or other health care professional for diagnosis and treatment of all medical conditions including the taking of supplements.
 
Thank you so much. I can feel your passion in your explanation. You also have a gift that you are able to relay this information to people like me so that I can understand it.

I know some supplements have been so beneficial to me. The Serra enzyme sounds a little scary. I have to worry about ulcers from my GERD and NSAiDS are just a not an option per my gastroenterologist. I was just wondering if side effects for any anti inflammatory supplement would have the same effect.

The alfalfa info is great. Years ago while suffering with gout my husband did not want to go in any medication. an herbalist suggested trying the alfalfa and it truly helped him.

The nutritional info you provide here is very beneficial and interesting. It is difficult to find explanations especially about herbal supplements that are as good as you have provided. In fact when I found out I was anemic a few weeks after surgery I searched your writings in the nutritional section of the library before google.

I have learned so much from you this week and i thank you. Nutrition is an important part of this whole process.

Kind regards,
JoAnne
 
Hi @Jozilla and @Poppet - just to put my two pennyworth in ... I have tried serra peptase. It was recommended to me by a neighbour, who says it has completely rejuvenated his knees. He absolutely swears by the stuff and cycles meaningfully every day and is very active- so he's doing something right, and swears its down to the serra peptase. He goes as far as to say that on occasions when he has run out and missed a couple of doses, the stiffness comes back quite rapidly. Like all these things it is supposed to be a 'wonder' supplement that does you all manner of good, in all sorts of places and all sorts of ways.
I bought some and although I only took it for a few days (before my knee completely gave out and I finally signed up for the TKR) I cant say my stomach loved it. I have a hiatus hernia and gastritis and although my stomach wasn't upset, it didn't feel quite 'comfortable'. But then that's probably my ridiculous gut - I am still suffering from my surgery and the hospital's massive overdose of laxatives 10days ago. Things have improved, but I am still not settled and right, and I will be so pleased when I am, so I can feel human again.(Sorry about the vent at the end but I am losing patience with feeling queasy and having an upset stomach)
 
Thank you for the info @dogwheels. Very interesting yo learn about new things. I have a sensitive digestive track also so I wouldn't attempt to try that. Hard to believe what happened to you in the hospital with the laxatives. Not a great way to start a tkr recovery. When my system gets out if whack like that it takes me a couple months to normalize. Hope you feel better soon!
 
Hi Joanne @Jozilla and @dogwheels - I feel I need to explain my situation :) as I get frustrated when writing replies due to my professional restrictions. I would love to expand my opinions and suggestions - but I would be de-registered!

Because I am a registered natural medicine practitioner I am absolutely forbidden to advertise, discuss or prescribe supplements by law, unless I am in a consulting room, behind closed doors, haven taken a full and comprehensive medical history etc. etc. (my initial consultation and questions could take up to two hours!) so the open www is not the platform or private consultation room required.. Even under the strict physical consultation requirements there are other applicable legal rules I have to abide by...

This is purely my own situation...
Do I take herbal supplements/tinctures - yes!
Do I believe in what I am taking - yes!
Can I discuss these with you - sadly no!

Sad, but frustrating really, as I know I could offer so much more but I can't :(

However, I do know that 'we are what we eat', rather than any supplements we may decide to take.. So nutrition is key!
 
Ok i have started the serrapeptase and will see what happens. I have never taken anything like this ever and am willing to try other things for the first time to avoid MUA if i can. I will update as i go along if i have any improvements or not.
 
Please keep posting! I am very interested to see what kind of results you get.
 
So 15 weeks post op now i think. I am around 90 but the knee feels full at the bottom, tight, sticks out. The more i move the more pain. Something just feels wrong. Should i now seek a second opinion?

[Bonesmart.org] Revision RTKR due to laxity in ligament 3rd March 2015


[Bonesmart.org] Revision RTKR due to laxity in ligament 3rd March 2015


[Bonesmart.org] Revision RTKR due to laxity in ligament 3rd March 2015
 
I know this recovery takes a long time and we are all different. If I were not comfortable with my knee and had any doubt about it I would get a second opinion. It might just be that you will put your mind at ease and all is okay. To me it looks swollen and just that might be causing the pain you are having. Do you still ice? Hope you find some answers soon. Maybe some experts here can put your mind at ease!
 
I do still ice. Its hard to describe bit when my knee is in bent position the bottom sticks out a lot and there is no swelling at that part. It feels like something solid is right there below the kneecap. It feels full and tight and the more i try to bend past 90 degrees the more painful it becomes. My GP said it looked like it was a step between my tibial bone and the start of the joint. You can see the step in the picture where my knee is bent. And the front view of my knee you can see how packed tight it is. It is solid in there not tissue like. Does that make sense?
 
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